Z71.1 ICD-10-CM Code: Person with feared health complaint in whom no diagnosis is made
Z71.1 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software
HCC Buddy Code Card
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)
Z71.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePerson with feared health complaint in whom no diagnosis is made
A person visits a healthcare provider with health concerns or fears but after evaluation, no actual medical diagnosis is found.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Person encountering health services with feared condition which was not demonstrated
- Person encountering health services in which problem was normal state
- 'Worried well'
Excludes 2
Official- contraceptive or procreation counseling (Z30-Z31)
- sex counseling (Z70.-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z71.1 in this effective period.
Excludes 1
Official- medical observation for suspected diseases and conditions proven not to exist (Z03.-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z71.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z71.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z71.1 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z71.1 an HCC code?
No. Z71.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z71.1
- Description
- Person with feared health complaint in whom no diagnosis is made
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z71.1 is the ICD-10-CM diagnosis code for person with feared health complaint in whom no diagnosis is made. A person visits a healthcare provider with health concerns or fears but after evaluation, no actual medical diagnosis is found. Z71.1 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in other circumstances (z69-z76).
Z71.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is appropriate when the patient has anxiety about a health condition that is ruled out after examination.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z71.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is appropriate when the patient has anxiety about a health condition that is ruled out after examination
- •Document the presenting complaint and the findings that ruled out disease to support medical necessity
Excludes 1, Do NOT code together
- medical observation for suspected diseases and conditions proven not to exist (Z03.-)

